Radhik

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412941L Issued in PA

Legal business name

RADHIK

Practice address

1301 Jefferson Ave
Woodlyn, PA 19094-1602

Phone

(610) 833-5600

Fax

(610) 833-1954

NPI assigned

Jun 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jaimini PatelNPI 1457937831

Title

President/Owner

Phone

(610) 833-5600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Woodlyn Pharmacy Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Radhik2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Radhik

  • Long Term Care Pharmacy
  • Woodlyn, PA
  • NPI 1912745027
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaimini Patel

  • Pharmacist
  • Woodlyn, PA
  • NPI 1457937831
  NPD Authorized official
• Harold M Sparkler, RPH

  • Pharmacist
  • Woodlyn, PA
  • NPI 1821014572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1124064613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 JEFFERSON AVENUE",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "19094",
            "telephone_number": "610-833-5600",
            "fax_number": "610-833-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 JEFFERSON AVE",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190941602",
            "telephone_number": "610-833-5600",
            "fax_number": "610-833-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAIMINI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-833-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412941L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009385080001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlyn Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlyn Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patience Osuagwu
• Outside Bones PC
• Pauline E Pappas, M.C.A.T.
• Jaimini Patel
• Lesly Paul
• Radhik
• Redi Urgent Care LLC
• Ridley Dental Center
• William Nelson Ritchie III, DC
• Jill Detweiler Ruggieri

• Community/Retail Pharmacy in Woodlyn, PA
• Providers in Woodlyn, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.